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They mostly talk about family history and allergies that you have. They tell you a little bit about pregnancy and what to expect. Some but not all offices will do an in office ultrasound. (With my first they did but with this one they don't have U/S in the office at all.) They will ask about any medications/vitamins you are taking and answer any questions you have. They will probably do a pelvic exam and feel of your uterus to see how large it is. They will probably do a pap smear and breast exam as well. They you'll probably be sent to the lab to get blood drawn. With it they will check things like your hormone levels, iron, and rh.

My first appt consisted of a pelvic exam (no pap because I had one like 2 weeks prior) and just general questions. I had an ultrasound for dating (because I had my IUD taken out in May, got my period 2 days later and then got pregnant during my next ovulation) a couple days later...and my next appt will be about family history, etc.

Your doc is probably doing family history during your first visit and maybe an ultrasound.